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ABA Billing Support Specialist

ABA Billing Support Specialist

Reliant Healthcare GroupKaty, TX, US
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Reliant Healthcare Group ABA Operations Team Member

Reliant Healthcare Group is committed to providing and encouraging the very best within each child. We are continuing to grow and are looking to add to our team of ABA Operations team.

Responsibilities

  • Follow-up with insurance companies to complete authorizations

Ensure all information was submitted

  • Complete Verbal Auth Forms for new treatment requests
  • Compare treatment plans with approved hours to ensure the correct hours were given
  • Manage, track, and update authorized hours for clients
  • Monitor authorization expiration dates to ensure treatment plans are submitted in a timely manner

    • Identify barriers to obtaining appropriate and timely service authorizations and report to manager

  • Send authorization updates to BCBAs

    • Include breakdown of hours received

  • Notes for the next re-assessment period
  • Schedule Peer Reviews with BCBAs and insurance companies
  • Send authorization reminders to BCBAs each month to ensure all authorizations are completed in a timely manner
  • Input authorization information into Central Reach for billing purposes
  • Utilize reports to ensure that all services are authorized
  • Review converted timesheets for the previous day for all codes and different levels of therapists

    • Ensure correct procedure coding is used per time sheet and by all different levels of therapists

  • Check conversion times against the sign-in sheet and the schedule to ensure all timesheets were entered and converted
  • Check the locations of the timesheets to match the location of the appointment
  • Check for overlaps and duplicate appointments
  • Resolve and / or communicate any discrepancies
  • Ensure Magellan / Tricare hours do not exceed the threshold
  • Assist in collecting, posting, and monitor patient accounts
  • Recognize problems and communicates them to appropriate personnel
  • Performs other duties as assigned by administrator / office manager

    • Qualifications

  • Experience with Applied Behavior Analysis (ABA) highly preferred
  • Knowledge of and proficiency in computer programs, i.e., Microsoft word, excel, adobe and experience with database management
  • Analytical and critical thinking; ability to think outside the box to resolve issues
  • Knowledge of Central Reach preferred
  • High school graduate or GED program preferred

    • What We Offer

    Health & Wellness :

  • Comprehensive health, dental, and vision insurance
  • Health Savings Account (HSA)
  • 100% company-paid life insurance and accidental death & dismemberment (AD&D)
  • Optional short-term and long-term disability
  • Critical illness coverage
  • Employee Assistance Program (EAP)

    • Work-Life Balance :

  • Generous paid time off (PTO) including holidays, sick leave, and vacation

    • Financial Security :

  • 401(k) with company match
  • Employee Bonus Referral Program

    • Join our team at Reliant Healthcare Group and make a meaningful impact in the lives of children and families while furthering your professional development. If you are passionate about ABA therapy and have the qualifications and experience we are looking for, we encourage you to apply.

  • This job description in no way states or implies that these are the ONLY duties to be performed by the employee while occupying this job. Employee will be required to follow any other job-related instructions requested by their supervisors.
  • This document does not create an employment contract, implied or otherwise, other than "at will" employment relationship.
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    Billing Specialist • Katy, TX, US

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